<%- include('header') -%>
    <div id="main">
      <form action="/signup" method='post' id="sign-form">
        <legend id='form-title'>山东老乡会报名</legend>
        <div class="input-outer mui-textfield mui-textfield--float-label">
          <input type="text" id='name' name='name' value=''>
          <label>姓名</label>
        </div>
        <div class="mui-select">
          <select id='sex' name='sex'>
            <option value='男'>男</option>
            <option value='女'>女</option>
          </select>
          <label>性别</label>
        </div>
       
        <div class="mui-select">
          <select id='grade' name='grade'>
            <option value='2016'>2016</option>
            <option value='2015'>2015</option>
            <option value='2014'>2014</option>
            <option value='2013'>2013</option>
            <option value='2012'>2012</option>
            <option value='2011'>2011</option>
            <option value='2010'>2010</option>
            <option value='其他'>其他</option>
          </select>
          <label>年级</label>
        </div>
        <div class="mui-select">
          <select id='area' name='area'>
            <option value='济南市'>济南市</option>
            <option value='青岛市'>青岛市</option>
            <option value='淄博市'>淄博市</option>
            <option value='枣庄市'>枣庄市</option>
            <option value='东营市'>东营市</option>
            <option value='烟台市'>烟台市</option>
            <option value='潍坊市'>潍坊市</option>
            <option value='济宁市'>济宁市</option>
            <option value='泰安市'>泰安市</option>
            <option value='威海市'>威海市</option>
            <option value='日照市'>日照市</option>
            <option value='滨州市'>滨州市</option>
            <option value='德州市'>德州市</option>
            <option value='聊城市'>聊城市</option>
            <option value='临沂市'>临沂市</option>
            <option value='菏泽市'>菏泽市</option>
            <option value='莱芜市'>莱芜市</option>
          </select>
          <label>地区</label>
        </div>
        <div class="mui-select">
          <select id='department' name='department'>
            <option value='信息学部'>信息学部</option>
            <option value='文理学部'>文理学部</option>
            <option value='工学部'>工学部</option>
            <option value='医学部'>医学部</option>
          </select>
          <label>学部</label>
        </div>
        <div class="input-outer mui-textfield mui-textfield--float-label">
          <input type="text" value="" id='phone' name='phone'>
          <label>手机号</label>
        </div>
        <div class="input-outer mui-textfield mui-textfield--float-label">
          <input type="text" value="" id='email' name='email'>
          <label>邮箱</label>
        </div>
        <button id='submit-btn' class="mui-btn mui-btn--raised mui-btn--primary">报名</button>
      </form>
    </div>
    <script src='/js/index.js'></script>
<%- include('footer') -%>
